Shorter hospital stay associated with fastrack postoperative care pathways and laparoscopic intestinal resection are not associated with increased physical activity

Abstract Background There are very few studies focusing on the relationship between COVID-19 and pre-infection lifestyle. In the absence of effective vaccines and special-effect medicines, it is very meaningful to actively respond to the disease pandemic by improving lifestyle habits. Methods This is a multicenter, retrospective cohort study enrolled 431 adult people including 228 normal people and 203 confirmed infects in Wubei, Henan and Shandong Provinces. Questionnaires were used to collect information on physical activity and lifestyle by competent doctors. The univariate logistic regression models and multiple regression models were used in risk factor analysis. Kruskal-Wallis H test were used to test the correlation. Results Lifestyle habits including exercise, smoking, sleep and physical activity can significantly affect the probability of getting COVID-19(P < 0.05). The MET (Metabolic Equivalent) intensity classification and sleep status are found to be the potential influencing factors of prognosis in both all infects and symptomatic patients. In all infects, taking the high MET intensity level as a reference, inpatient days would increase by 1.812 times (95% CI: 0.887–3.701) with no significance when the level is moderate (P > 0.05) and significantly increase by 6.674 times (95% CI: 1.613–27.613) when the level is low (P < 0.05). Kruskal-Wallis H test results showed moderate activity MET*min promoted shorter hospital stay (P < 0.05) mainly. Conclusions Sleep status and physical activity influenced the susceptibility and prognosis of COVID-19. Lack of sleep and low MET intensity level may prolong the hospital stay, which means a relatively slow recovery. This encourages the public to have moderate physical activity and adequate sleep to respond to the COVID-19 pandemic actively.

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Postoperative Care Pathways for the Bariatric Patient

The SAGES Manual of Bariatric Surgery ◽

10.1007/978-3-319-71282-6_16 ◽

2018 ◽

pp. 173-184

Author(s):

Katherine M. Meister ◽

Stacy A. Brethauer

Keyword(s):

Postoperative Care ◽

Care Pathways ◽

Bariatric Patient

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Is it possible to increase the amount of physical activity in patients isolated due to stem cell transplantation?

10.21203/rs.2.14631/v1 ◽

2019 ◽

Author(s):

Sölvi Vejby

Keyword(s):

Physical Activity ◽

Stem Cell ◽

Stem Cell Transplantation ◽

Hospital Stay ◽

Cell Transplantation ◽

Standard Care ◽

Control Group ◽

Post Discharge ◽

Care Plans ◽

Metabolic Equivalents

Abstract Abstract Purpose: To investigate if physical activity (PA) support could increase PA and health-related quality of life (HRQoL) in patients isolated after haematological stem cell transplantation, compared with standard care. Methods: A prospective historical control group design was used. Patients were sequentially included in a standard care group (SCG, n=22) or a physical activity support group (PASG, n=21). PASG patients received PA support at a pre-transplantation consultation, daily during admission, and at follow-up 14 days post-discharge. All participants undertook a 6-minute walking test (6MWT) at the beginning and end of their hospital stay. HRQoL was evaluated using the Functional Assessment of Cancer Therapy – Anaemia scale. Patients reported all PA, including sitting, throughout their hospital stay. Metabolic Equivalents of Task (METs) were calculated. Results: PASG patients spent more time sitting and doing various activities, and less in bed, than SCG patients (p=0.03–0.06). They had more calculated METs for total PA out of bed (p=0.02) and time spent sitting (p=0.05). PASG patients walked further in the 6MWT than SCG patients at baseline (p=0.02) and at discharge, but not significantly. There were no statistically significant differences in HRQoL, but PASG patients had clinically important less fatigue at discharge and clinically important better HRQoL 6 months post-discharge. Conclusions: Providing stem cell patients, pre-transplantation, with individual care plans for structured PA support during the hospital stay might increase PA and have a clinically important impact on HRQoL. Larger studies are needed to evaluate the effects of PA support on medical outcome and length of hospital stay.

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“I’m not going to walk, just for the sake of walking…”: a qualitative, phenomenological study on physical activity during hospital stay

Disability and Rehabilitation ◽

10.1080/09638288.2018.1492636 ◽

2018 ◽

Vol 42 (1) ◽

pp. 78-85 ◽

Cited By ~ 10

Author(s):

Niek Koenders ◽

Roel van Oorsouw ◽

Joost P. H. Seeger ◽

Maria W. G. Nijhuis – van der Sanden ◽

Irene van de Glind ◽

...

Keyword(s):

Physical Activity ◽

Hospital Stay ◽

Phenomenological Study ◽

Qualitative Phenomenological ◽

Qualitative Phenomenological Study

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I152 Incorporating physical activity into secondary care pathways: Lessons learned from the physical activity feasibility project

Rheumatology ◽

10.1093/rheumatology/kez109.151 ◽

2019 ◽

Vol 58 (Supplement_3) ◽

Author(s):

James Baldock

Keyword(s):

Physical Activity ◽

Secondary Care ◽

Lessons Learned ◽

Care Pathways

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The Effect of Omentoplasty on the Rate of Anastomotic Leakage after Intestinal Resection: A Randomized Controlled Trial

The American Surgeon ◽

10.1177/000313481708300215 ◽

2017 ◽

Vol 83 (2) ◽

pp. 157-160 ◽

Cited By ~ 1

Author(s):

Shirzad Nasiri ◽

Babak Mirminachi ◽

Reyhaneh Taherimehr ◽

Roya Shadbakhsh ◽

Mohsen Hojat

Keyword(s):

Hospital Stay ◽

Anastomotic Leakage ◽

Controlled Trial ◽

Randomized Study ◽

Intestinal Resection ◽

Length Of Hospital Stay ◽

Fistula Formation ◽

Intestinal Surgery ◽

Increased Risk ◽

Significant Difference

Anastomotic leakage is a major postoperative complication after intestinal surgery leading to increased risk of morbidity and mortality. Omentoplasty has been evaluated to prevent anastomotic leakage in several studies. However, there is no consensus regarding whether or not omentoplasty should be used to decrease the rate of anastomotic leakage after intestinal resection. A prospective, randomized study was conducted to evaluate the influence of omentoplasty on anastomotic leakage after intestinal resection. A total of 124 patients who underwent intestinal resection were enrolled in this prospective study. Patients were randomly assigned to receive either the omentoplasty or nonomentoplasty. In the omentoplasty group, the omentum was wrapped around the anastomotic region. Age, gender, site and type of anastomosis, duration of hospital stay, and performance of omentoplasty were recorded. This study was registered in Iranian Registry of clinical trial (number: IRCT201412316925N3). The rate of anastomotic leakage was significantly lower in the omentoplasty group (P = 0.04). Patients in the omentoplasty group developed a significantly lower rate of postoperative infection and peritonitis (P < 0.05). There was no significant difference of abscess and fistula formation between the two groups (P > 0.05). The length of hospital stay was longer in the nonomentoplasty group, compared with that for omentoplasty patients (P < 0.05). No death occurred in the omentoplasty subjects, while six nonomentoplasty patients died (P < 0.05). Our data demonstrated that omentoplasty is useful to lower the rate of postoperative complications in patients underwent intestinal surgery.

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